CAJ | 학술논문

目的：探讨呼吸锻炼用于妇科腹腔镜术后缓解患者膈下疼痛的效果。方法：选取2012年6月至2013年7月就诊于我院并行妇科腹腔镜手术的术后患者110例，将其随机分为观察组与对照组，每组各55例。对照组予以常规处理，观察组在常规处理的基础上加用呼吸功能训练。采取通用的视觉模拟评分（ VAS）对2组的治疗效果进行比较，分别于疼痛初始及术后12 h、24 h、48 h进行疼痛评分。结果：观察组患者在术后12 h开始疼痛评分下降，VAS评分与对照组相比有显著性差异（P＜0.05）。观察组在术后24 h、48 h的VAS评分较对照组明显降低（P＜0.05）。结论：术后进行呼吸锻炼可以明显缓解妇科腹腔镜患者膈下疼痛，值得临床进一步推广应用。
목적：탐토호흡단련용우부과복강경술후완해환자격하동통적효과。방법：선취2012년6월지2013년7월취진우아원병행부과복강경수술적술후환자110례，장기수궤분위관찰조여대조조，매조각55례。대조조여이상규처리，관찰조재상규처리적기출상가용호흡공능훈련。채취통용적시각모의평분（ VAS）대2조적치료효과진행비교，분별우동통초시급술후12 h、24 h、48 h진행동통평분。결과：관찰조환자재술후12 h개시동통평분하강，VAS평분여대조조상비유현저성차이（P＜0.05）。관찰조재술후24 h、48 h적VAS평분교대조조명현강저（P＜0.05）。결론：술후진행호흡단련가이명현완해부과복강경환자격하동통，치득림상진일보추엄응용。
Objective:To study the effect of breathing exercise therapy to relieve postoperative pain under the diaphragm in patients with gynecological laparoscopic surgery.Methods:From June to July 2013 in our hospital , 110 cases of patients with gynecological laparoscopic surgery , were randomly divided into observation group and control group ,each group 55 cases.There were the conventional therapy in control group ,the conventional therapy combined with respiratory function training in observation group.Took general visual analogue scale (VAS) in two groups,and took the comparison of pain score in the initial and 12 h, 24 h,48 h of postoperation respectively.Results:Pain score, VAS score in 12 h after operation in the observation group were compared with in the control group ,there was the significant difference (P<0.05).VAS score in 24 h, 48 h after operation in observation group was significantly lower than in the control group ( P<0.05).Conclusion:Postoperative respiratory exercise can relieve diaphragmatic pain of gynecologic patients with laparoscopic operation , it is worthy of clinical application and popularization.